Displaying 5641 - 5660 of 5993
Contract Number Brand Code Brand Name Package Size Formulary Category Unit Price Strength Max. Reimbursable / Month Drug Contract Start Date Drug Contract End Date Restrict To Ophthalmologist Restrict To Pulmonologist Status Description Max Repeats
42 B012H RETROVIR 10MG/ML SYR (GSK) ZIDOVUDINE 240ML C 0.41 10MG/ML 100 2026-04-01 No No 6
40 B012T 3TC 10MG/ML SOLUTION (GSK/COL) LAMIVUDINE 240ML BL 0.25 10MG/ML 0 2022-04-01 2024-03-31 0
41 B012T 3TC 10MG/ML SOLUTION (GSK) LAMIVUDI (BL) 240ML BL 0.3171 10MG/ML 0 2024-04-01 2026-03-31 0
42 B012V LAMIVUDINE 10MG/ML SOLN (APL) 240ML BL 0.58 10MG/ML 0 2026-04-01 No No 0
40 B0133 RETROVIR 10MG/ML INJ (GSK/COL) ZIDOVUDINE 5X20ML C 36.35 10MG/ML 0 2022-04-01 2024-03-31 0
41 B0133 RETROVIR 10MG/ML INJ (GSK) ZIDOVUDINE 5X20ML BL 84.654 10MG/ML 0 2024-04-01 2026-03-31 0
42 B0133 RETROVIR 10MG/ML INJ (GSK) ZIDOVUDINE 5X20ML C 88.89 10MG/ML 0 2026-04-01 No No 0
40 B021BA EMPETUS 100MG TAB (EMC/COL) RITONAVIR 30'S BL 0.73 100MG 0 2022-04-01 2024-03-31 0
41 B021BA EMPETUS 100MG TAB (EMC) RITONAVIR (BL) 30'S BL 0.8155 100MG 60 2024-04-01 2026-03-31 6
40 B021BH RITONAVIR 100MG TAB (MAT/AHI) 30'S BL 1.20 100MG 0 2022-04-01 2024-03-31 0
40 B021BL APO-DARUNAVIR 600MG TAB (APO/COL) 60'S BL 15.86 600MG 0 2022-04-01 2024-03-31 0
42 B021BL APO-DARUNAVIR 600MG TAB (APO) DARUN 60'S BL 16.17 600MG 60 2026-04-01 No No 0
40 B021BM ATAZANAVIR 300MG TAB (MAT/AHI) 30'S BL 1.85 300MG 0 2022-04-01 2024-03-31 0
41 B021BQ APO-DARUNAVIR 600MG TAB (APO) DARUN (BL) 60'S BL 16.174 600MG 60 2024-04-01 2026-03-31 30
40 B031AN EFAVIRENZ 600MG TAB (MCP/AHI) 30'S BL 0.30 600MG 0 2022-04-01 2024-03-31 0
41 B031AN EFAVIRENZ 600MG TAB (MCP) (BL) 30'S BL 0.2809 600MG 60 2024-04-01 2026-03-31 6
40 B031AP NEVIRAPINE 200MG TAB (MCP/AHI) 60'S BL 0.16 200MG 0 2022-05-26 2024-03-31 Package Size Change 0
40 B031U NEVIR 200MG TAB (EMC/COL) NEVIRAPINE 60'S BL 0.17 200MG 0 2022-04-01 2024-03-31 0
40 B031V EFAVIRENZ 600MG TAB (MAT/AHI) 30'S BL 0.49 600MG 0 2022-04-01 2024-03-31 0
40 B031Y EFCURE 600MG TAB (EMC/COL) EFAVIRENZ 30'S BL 0.38 600MG 0 2022-04-01 2024-03-31 0